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Please print out and use this Membership Application Form;

Membership Application
2006

I wish to join the Suffolk Poetry Society


Name  ____________________________________

Address __________________________________

_________________________________________

_________________________________________

Post Code________________________________


I enclose a cheque, made payable to
Suffolk Poetry Society, for:

Single Membership £10.00
Joint Membership
(two people at same address

£18.00

Young Persons Membership (under 18) £4.00
Portfolio Membership £10.00
Donation (Optional) £____
Total Payment £____

Please send this form with your payment to the Treasurer:

Membership Secretary
Judy G Ryland
Fern Cottage, 60 Cumberland Street
Woodbridge IP12 4AD


If you require a receipt, please enclose sae.